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General NPI Number Information
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NPI Number | 1720270267
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Entity Type | Organization
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Legal Business Name | INSERRA SUPERMAKETS
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 08/17/2007
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Provider Practice Location Address
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Address Line | 27 E MAIN ST
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City | RAMSEY
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State | NJ
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Zip | 07446-1924
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Country | US
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Telephone | 201-327-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 27 E MAIN ST
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City | RAMSEY
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State | NJ
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Zip | 07446-1924
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Country | US
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Telephone | 201-327-0033
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MR. CARY LAMPERT
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Credential | RP
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Telephone | 201-529-5927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | NJ
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